{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T13:47:05Z","timestamp":1775051225459,"version":"3.50.1"},"reference-count":38,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T00:00:00Z","timestamp":1578528000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["R01 TW010652"],"award-info":[{"award-number":["R01 TW010652"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study describes the prevalence and correlates of adult smokers\u2019 discussions about electronic cigarettes (e-cigarettes) with health professionals (HPs), including whether these discussions may lead smokers and vapers to use e-cigarettes for smoking cessation. Methods: We analyzed data from an online survey of Mexican smokers recruited from a consumer panel for marketing research. Participants who had visited an HP in the prior four months (n = 1073) were asked about discussions of e-cigarettes during that visit and whether this led them to try to quit. Logistic models regressed these variables on socio-demographics and tobacco use-related variables. Results: Smokers who also used e-cigarettes (i.e., dual users) were more likely than exclusive smokers to have discussed e-cigarettes with their HP (adjusted odds ratio (AOR) = 3.96; 95% C.I. 2.73, 5.74), as were those who had recently attempted to quit smoking (AOR = 1.89; 95% C.I. 1.33, 2.7). Of smokers who had discussed e-cigarettes, 53.3% reported that the discussion led them to use e-cigarettes in their quit attempt. Also, dual users (AOR = 2.6; 95% C.I. 1.5, 4.5) and daily smokers (&gt;5 cigarettes per day) (AOR = 3.62; 95% C.I. 1.9, 6.8) were more likely to report being led by their HP to use e-cigarettes in the quit attempt compared to exclusive smokers and non-daily smokers, respectively. Conclusions: Discussions between HP and smokers about e-cigarettes were relatively common in Mexico, where e-cigarettes are banned. These discussions appear driven by the use of e-cigarettes, as well as by greater smoking frequency and intentions to quit smoking.<\/jats:p>","DOI":"10.3390\/ijerph17020442","type":"journal-article","created":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T04:06:51Z","timestamp":1578629211000},"page":"442","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Health Professionals\u2019 Counseling about Electronic Cigarettes for Smokers and Vapers in a Country That Bans the Sales and Marketing of Electronic Cigarettes"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6056-8587","authenticated-orcid":false,"given":"Katia","family":"Gallegos-Carrillo","sequence":"first","affiliation":[{"name":"Epidemiology and Health Services Research Unit, Mexican Institute of Social Security, Cuernavaca, Morelos 62000, Mexico"},{"name":"Tobacco Research Department, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inti","family":"Barrientos-Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Evaluation and Surveys Research Center, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edna","family":"Arillo-Santill\u00e1n","sequence":"additional","affiliation":[{"name":"Tobacco Research Department, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico"},{"name":"School of Demography, The Australian National University, Canberra, Australia\/Tobacco Research Department, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Zavala-Arciniega","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Michigan, Ann Arbor, MI 48109, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9590-9206","authenticated-orcid":false,"given":"Yoo Jin","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, Education &amp; Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James F.","family":"Thrasher","sequence":"additional","affiliation":[{"name":"Tobacco Research Department, National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico"},{"name":"Department of Health Promotion, Education &amp; Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,1,9]]},"reference":[{"key":"ref_1","unstructured":"National Academies of Sciences, Engineering, and Medicine (2018). Public Health Consequences of E-Cigarettes, The National Academies Press. Available online: https:\/\/www.nap.edu\/read\/24952\/chapter\/1."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/S2213-2600(15)00521-4","article-title":"E-cigarettes and smoking cessation in real-world and clinical settings: A systematic review and meta-analysis","volume":"4","author":"Kalkhoran","year":"2016","journal-title":"Lancet Respir. Med."},{"key":"ref_3","unstructured":"McNeill, A., Brose, L.S., Calder, R., Bauld, L., and Robson, D. (2019, October 14). Evidence Review of E-Cigarettes and Heated Tobacco Products 2018, Available online: https:\/\/assets.publishingservice.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/684963\/Evidence_review_of_ecigarettes_and_heated_tobacco_products_2018.pdf."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1056\/NEJMp1601154","article-title":"Evidence, policy, and e-cigarettes\u2014will England reframe the debate?","volume":"374","author":"Green","year":"2016","journal-title":"N. Engl. J. Med."},{"key":"ref_5","unstructured":"American Medical Association (2019, October 10). AMA Strengthens Policy on Electronic Cigarettes to Further Protect Youth. Available online: http:\/\/www.ama-assn.org\/ama\/pub\/news\/news\/2015\/2015-06-09-ama-policy-protect-youth.page."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1161\/CIR.0000000000000107","article-title":"Electronic cigarettes: A policy statement from the American Heart Association","volume":"130","author":"Bhatnagar","year":"2014","journal-title":"Circulation"},{"key":"ref_7","unstructured":"Tobacco Advisory Group of the Royal College of Physicians (2016). Nicotine Without Smoke: Tobacco Harm Reduction, Royal College of Physicians."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1177\/0890117117710876","article-title":"E-Cigarette advice to patients from physicians and dentists in the United States","volume":"32","author":"Drouin","year":"2018","journal-title":"Am. J. Health Promot."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"741","DOI":"10.3122\/jabfm.2016.06.160092","article-title":"Physician advice for e-cigarette use","volume":"29","author":"Thrasher","year":"2016","journal-title":"J. Am. Board Fam. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/add.14527","article-title":"Discussions between Health Professionals and Smokers about Nicotine Vaping Products: Results from the 2016 ITC Four Country Smoking and Vaping Survey","volume":"114","author":"Gravely","year":"2019","journal-title":"Addiction"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1093\/ntr\/ntu103","article-title":"Cigarette Users\u2019 Interest in Using or Switching to Electronic Nicotine Delivery Systems for Smokeless Tobacco for Harm Reduction, Cessation, or Novelty: A Cross-Sectional Survey of US Adults","volume":"17","author":"Berg","year":"2014","journal-title":"Nicotine Tob. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"11691","DOI":"10.3390\/ijerph111111691","article-title":"Awareness, trial, and current use of electronic cigarettes in 10 countries: Findings from the ITC project","volume":"11","author":"Gravely","year":"2014","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1136\/tobaccocontrol-2016-053179","article-title":"Global approaches to regulating electronic cigarettes","volume":"26","author":"Kennedy","year":"2017","journal-title":"Tob. Control"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3122\/jabfm.2018.01.170206","article-title":"Patient Perspectives on Discussions of Electronic Cigarettes in Primary Care","volume":"31","author":"Doescher","year":"2018","journal-title":"J. Am. Board Fam. Med."},{"key":"ref_15","unstructured":"Ley General para el Control del Tabaco 2018 (2019, August 16). Art\u00edculo 16, Apartado VI. Diario Oficial de la Federaci\u00f3n, Available online: http:\/\/www.diputados.gob.mx\/LeyesBiblio\/pdf\/LGCT_150618.pdf."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"i5991","DOI":"10.1136\/bmj.i5991","article-title":"WHO urges restrictions on e-cigarettes","volume":"355","author":"Gulland","year":"2016","journal-title":"BMJ"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.addbeh.2018.09.004","article-title":"Technophilia: A new risk factor for electronic cigarette use among early adolescents?","volume":"91","author":"Lozano","year":"2019","journal-title":"Addict. Behav."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Zavala-Arciniega, L., Reynales-Shigematsu, L.M., Lozano, P., Rodr\u00edguez-An-drade, M.\u00c1., Arillo-Santill\u00e1n, E., and Thrasher, J.F. (2018). Patterns of awareness and use of electronic cigarettes in Mexico, a middle-income country that bans them: Results from a 2016 national survey. Prev. Med., 116.","DOI":"10.1016\/j.ypmed.2018.09.018"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"276","DOI":"10.21149\/9797","article-title":"E-cigarette use and its association with smoking reduction and cessation intentions among Mexican smokers","volume":"61","author":"Lozano","year":"2019","journal-title":"Salud Publica Mex."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.addbeh.2017.08.002","article-title":"Prevalence of population smoking cessation by electronic cigarette use status in a national sample of recent smokers","volume":"76","author":"Giovenco","year":"2018","journal-title":"Addict. Behav."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Brose, L.S., Hitchman, S.C., Brown, J., West, R., and McNeill, A. (2015). Is the use of electronic cigarettes while smoking associated with smoking cessation attempts, cessation and reduced cigarette consumption? A survey with a 1-year follow-up. Addiction, 110.","DOI":"10.1111\/add.12917"},{"key":"ref_22","unstructured":"Center for Disease Control and Prevention (CDC) (2013). Health-care provider screening for tobacco smoking and advice to quit-17 countries, 2008\u20132011. MMWR Morb. Mortal. Wkly. Rep., 62, 920\u2013927."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1093\/ntr\/nty028","article-title":"Health Care Provider Intervention and Utilization of Cessation Assistance in 12 Low- and Middle-Income Countries","volume":"21","author":"Owusu","year":"2019","journal-title":"Nicotine Tob. Res."},{"key":"ref_24","first-page":"154","article-title":"Factors associated with changing cigarette consumption patterns among low-intensity smokers: Longitudinal findings across four waves (2008\u20132012) of ITC Mexico Survey","volume":"8","author":"Swayampakala","year":"2018","journal-title":"Addict. Behav. Rep."},{"key":"ref_25","unstructured":"GATS (2009). Encuesta Global de Tabaquismo en Adultos."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1056\/NEJMoa1808779","article-title":"A Randomized trial of E-Cigarettes versus Nicotine-Replacement Therapy","volume":"380","author":"Hajek","year":"2019","journal-title":"NEJM"},{"key":"ref_27","first-page":"CD010216","article-title":"Electronic cigarettes for smoking cessation","volume":"9","author":"McRobbie","year":"2016","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_28","unstructured":"McNeill, A., Brose, L.S., Calder, R., Bauld, L., and Robson, D. (2019). Vaping in England: An Evidence Update February 2019, Public Health England."},{"key":"ref_29","first-page":"CD010216","article-title":"Electronic cigarettes for smoking cessation and reduction","volume":"12","author":"McRobbie","year":"2014","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/j.amepre.2016.06.018","article-title":"Online patient\u2013provider e-cigarette consultations: Perceptions of safety and harm","volume":"51","author":"Burbank","year":"2016","journal-title":"Am. J. Prev. Med."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Kandra, K.L., Ranney, L.M., and Lee, J.G.L. (2013). Goldstein AO (2014) Physicians\u2019 Attitudes and Use of E-Cigarettes as Cessation Devices, North Carolina. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0103462"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.pmedr.2015.01.006","article-title":"Patient-physician communication regarding electronic cigarettes","volume":"2","author":"Steinberg","year":"2015","journal-title":"Prev. Med. Rep."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1093\/ntr\/ntw194","article-title":"Beliefs, Practices and Self-efficacy of US Physicians Regarding Smoking Cessation and Electronic Cigarettes: A National Survey","volume":"2","author":"Nickels","year":"2017","journal-title":"Nicotine Tob. Res."},{"key":"ref_34","unstructured":"Reynales-Shigematsu, L.M., Zavala-Arciniega, L., Paz-Ballesteros, W.C., Guti\u00e9rrez-Torres, D.S., Garc\u00eda-Buend\u00eda, J.C., Rodriguez-Andrade, M.A., Guti\u00e9rrez-Reyes, J., Franco-N\u00fa\u00f1ez, A., Romero-Mart\u00ednez, M.Y., and Mendoza-Alvarado, L. (2017). Secretar\u00eda de Salud. Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016\u20132017: Reporte de Tabaco, INPRFM."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1056\/NEJMp1314942","article-title":"Smoke, the chief killer\u2014Strategies for targeting combustible tobacco use","volume":"370","author":"Fiore","year":"2014","journal-title":"N. Engl. J. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/j.1360-0443.2011.03636.x","article-title":"Cessation assistance reported by smokers in 15 countries participating in the International Tobacco Control (ITC) policy evaluation surveys","volume":"107","author":"Borland","year":"2012","journal-title":"Addiction"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1111\/add.12998","article-title":"Health-care interventions to promote and assist tobacco cessation: A review of efficacy, effectiveness and affordability for use in national guideline development","volume":"110","author":"West","year":"2015","journal-title":"Addiction"},{"key":"ref_38","unstructured":"INEGI (2019). Resultados de la Encuesta Nacional de Ocupaci\u00f3n y Empleo (ENOE), INEGI. Available online: https:\/\/www.inegi.org.mx\/contenidos\/saladeprensa\/boletines\/2019\/enoe_ie\/enoe_ie2019_05.pdf."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/2\/442\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T13:42:32Z","timestamp":1760362952000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/2\/442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,9]]},"references-count":38,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,1]]}},"alternative-id":["ijerph17020442"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17020442","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,9]]}}}